| NPI | 1770716961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21387) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14284-040) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2017-03-15 |